How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $25.70 Median $45.71 Typical High $199.53 | Facility | None | $25.70 | $45.71 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $45.71 | Professional | None | $25.70 | $25.70 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | None | $25.12 | $25.12 | $26.92 |
BCBS Arizona Setting Facility Modifier None Typical Low $21.88 Median $97.72 Typical High $147.91 | Facility | None | $21.88 | $97.72 | $147.91 |
BCBS Arizona Setting Professional Modifier None Typical Low $20.42 Median $32.36 Typical High $46.77 | Professional | None | $20.42 | $32.36 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $75.86 Typical High $107.15 | Facility | None | $27.54 | $75.86 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $58.88 | Professional | None | $25.70 | $34.67 | $58.88 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $181.97 | Facility | None | $28.18 | $38.90 | $181.97 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $31.62 | Professional | None | $16.22 | $22.91 | $31.62 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $53.70 | Professional | None | $16.22 | $22.91 | $53.70 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Where Arizona sits
The same service costs 4.7 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 40th of 51
$32.36
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.